@layout("/common/_form.html",{js:["/assets/modular/system/btyCwFine/btyCwFine_selectDz.js"]}){

<form class="layui-form" id="btyGoodsPayForm" lay-filter="btyGoodsPayForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">

            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" value="${id}" type="hidden"/>

                    <div class="layui-inline">
                        <label class="layui-form-label zx-name" style="width: 40px;display: contents">罚款人</label>
                        <div class="layui-inline" style="display: inline-block">
                            <select id="dzName" lay-filter="dzName"
                                    lay-verify="required">
                                <option value="">请选择罚款人</option>
                            </select>
                        </div>
                    </div>

                </div>
                <div></br></div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;确定&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}
